中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2015年
3期
230-233
,共4页
林旭妍%林绿标%张燕%杨夏寅
林旭妍%林綠標%張燕%楊夏寅
림욱연%림록표%장연%양하인
前房%穿刺%玻璃体注气术%高眼压%黄斑出血
前房%穿刺%玻璃體註氣術%高眼壓%黃斑齣血
전방%천자%파리체주기술%고안압%황반출혈
Paracentesis,anterior chamber%Gas injection,intravitreal%Intraocular pressure,high%Hemorrhage,macular
目的 比较玻璃体内注气术前或注气术后进行前房穿刺,其效果及并发症的发生情况.方法 收集32例(40眼)黄斑出血病例,用玻璃体内注气术治疗,术中采用分层随机化分为两组,A组是注气术前先行前房穿刺,B组是注气术后再行前房穿刺.观察术后视力、眼压以及术中、术后并发症的情况.结果 术后92.5％的患眼视力不同程度提高,但提高程度由黄斑出血性质及时间决定.B组术中眼压与A组及B组术毕的眼压对比,其差异有统计学意义(P＜0.05),而A组和B组术毕的眼压差异无统计学意义(P＞0.05),B组黑矇发生率、气体外溢发生率、并发性白内障发生率均高于A组,差异有统计学意义(P＜0.05).所有病例手术顺利,术后眼压控制理想,均未发生其它并发症.结论 玻璃体腔注气术前先行前房穿刺,软化眼球,避免术中眼压波动过大导致严重并发症,不失为提高手术成功率的一种有效手段.
目的 比較玻璃體內註氣術前或註氣術後進行前房穿刺,其效果及併髮癥的髮生情況.方法 收集32例(40眼)黃斑齣血病例,用玻璃體內註氣術治療,術中採用分層隨機化分為兩組,A組是註氣術前先行前房穿刺,B組是註氣術後再行前房穿刺.觀察術後視力、眼壓以及術中、術後併髮癥的情況.結果 術後92.5％的患眼視力不同程度提高,但提高程度由黃斑齣血性質及時間決定.B組術中眼壓與A組及B組術畢的眼壓對比,其差異有統計學意義(P＜0.05),而A組和B組術畢的眼壓差異無統計學意義(P＞0.05),B組黑矇髮生率、氣體外溢髮生率、併髮性白內障髮生率均高于A組,差異有統計學意義(P＜0.05).所有病例手術順利,術後眼壓控製理想,均未髮生其它併髮癥.結論 玻璃體腔註氣術前先行前房穿刺,軟化眼毬,避免術中眼壓波動過大導緻嚴重併髮癥,不失為提高手術成功率的一種有效手段.
목적 비교파리체내주기술전혹주기술후진행전방천자,기효과급병발증적발생정황.방법 수집32례(40안)황반출혈병례,용파리체내주기술치료,술중채용분층수궤화분위량조,A조시주기술전선행전방천자,B조시주기술후재행전방천자.관찰술후시력、안압이급술중、술후병발증적정황.결과 술후92.5％적환안시력불동정도제고,단제고정도유황반출혈성질급시간결정.B조술중안압여A조급B조술필적안압대비,기차이유통계학의의(P＜0.05),이A조화B조술필적안압차이무통계학의의(P＞0.05),B조흑몽발생솔、기체외일발생솔、병발성백내장발생솔균고우A조,차이유통계학의의(P＜0.05).소유병례수술순리,술후안압공제이상,균미발생기타병발증.결론 파리체강주기술전선행전방천자,연화안구,피면술중안압파동과대도치엄중병발증,불실위제고수술성공솔적일충유효수단.
Objective To compare the clinical efficacy and complications of anterior chamber paracentesis before and after intravitreal gas injection.Methods Forty eyes of 32 cases with macular hemorrhage underwent intravitreal gas injection were enrolled.The patients were randomly divided into 2 groups.Patients in group A recieved the anterior chamber puncture before the intravitreal gas injection and patients in group B recieved the anterior chamber puncture after the intravitreal gas injection.The postoperative visual acuity,intraocular pressure (IOP),intraoperative and postoperative complications were observed.Results The postoperative visual acuity was improved to different degree in 92.5％ patients,but the degree of improvement depended on the nature and timing of macular hemorrhage.The IOP in the group B during surgery was different compared to the IOP in the group A or group B after operation and the difference was statistically significant (P ＜ 0.05).But there was no statistically significant difference in IOP between group A and group B after operation (P ＞ 0.05).The incidence of amaurosis,gas overflow,complicated cataract in group B were higher than that in group A,and the difference was statistically significant (P ＜ 0.05).The surgery was performed successfully in all cases and the postoperative IOP was controlled well without any other complications.Conclusion Anterior chamber puncture before intravitreal gas injection can soften the eyeball,avoid intraoperative IOP fluctuation which may cause serious complications,and is an effective means to improve the success rate of operation.
